The Judge Group
Location:
Chicago, IL, USA Salary:
$110.00 USD Hourly - $120.00 USD Hourly Description:
Physician Reviewer (Remote) – Contract-to-Hire Job Type: Full-Time | Contract-to-Hire (Temp to Perm) Contract Rate: $110–$120/hour Conversion Salary: $250,000 annually Location: Fully Remote – Must reside in Illinois, Montana, New Mexico, Oklahoma, or Texas Schedule: Monday–Friday | 40 hours/week Start Date: ASAP Note: This is a non-clinical role. No direct patient care or medical diagnosis is involved. About The Role We are seeking a Board-Certified Physician Reviewer to join a leading healthcare organization in a fully remote capacity. This role is ideal for experienced physicians looking to transition into a utilization management or clinical review position. You’ll play a key role in evaluating clinical service requests, applying evidence-based criteria, and supporting quality improvement initiatives. Key Responsibilities Review and evaluate clinical service requests from members and providers. Apply clinical judgment and organizational guidelines to determine medical necessity. Collaborate with case managers to support anticipatory case management. Participate in appeals processes for denied services. Contribute to the development and refinement of internal policies and procedures. Support continuous quality improvement (CQI) initiatives. Provide clinical leadership and insights across the organization. Qualifications M.D. or D.O. with active, unrestricted medical license. Board Certification by an ABMS-recognized specialty board. (Family, Internal, Emergency) Minimum 5 years of clinical experience , including inpatient care. Prior experience in Utilization Review or Managed Care preferred. Strong understanding of managed care principles and medical necessity criteria. Proficient in using computer systems for clinical documentation and file review. Why Apply? High-impact, non-clinical role in a respected healthcare organization. Competitive compensation with potential for permanent placement. Fully remote flexibility with a stable Monday–Friday schedule. Opportunity to influence healthcare delivery and quality outcomes. Apply now to take the next step in your career as a Physician Reviewer! By providing your phone number, you consent to: (1) receive automated text messages and calls from the Judge Group, Inc. and its affiliates (collectively "Judge") to such phone number regarding job opportunities, your job application, and for other related purposes. Message & data rates apply and message frequency may vary. Consistent with Judge's Privacy Policy, information obtained from your consent will not be shared with third parties for marketing/promotional purposes. Reply STOP to opt out of receiving telephone calls and text messages from Judge and HELP for help. Contact:
elandes@judge.com This job and many more are available through The Judge Group. Find us on the web at www.judge.com
Chicago, IL, USA Salary:
$110.00 USD Hourly - $120.00 USD Hourly Description:
Physician Reviewer (Remote) – Contract-to-Hire Job Type: Full-Time | Contract-to-Hire (Temp to Perm) Contract Rate: $110–$120/hour Conversion Salary: $250,000 annually Location: Fully Remote – Must reside in Illinois, Montana, New Mexico, Oklahoma, or Texas Schedule: Monday–Friday | 40 hours/week Start Date: ASAP Note: This is a non-clinical role. No direct patient care or medical diagnosis is involved. About The Role We are seeking a Board-Certified Physician Reviewer to join a leading healthcare organization in a fully remote capacity. This role is ideal for experienced physicians looking to transition into a utilization management or clinical review position. You’ll play a key role in evaluating clinical service requests, applying evidence-based criteria, and supporting quality improvement initiatives. Key Responsibilities Review and evaluate clinical service requests from members and providers. Apply clinical judgment and organizational guidelines to determine medical necessity. Collaborate with case managers to support anticipatory case management. Participate in appeals processes for denied services. Contribute to the development and refinement of internal policies and procedures. Support continuous quality improvement (CQI) initiatives. Provide clinical leadership and insights across the organization. Qualifications M.D. or D.O. with active, unrestricted medical license. Board Certification by an ABMS-recognized specialty board. (Family, Internal, Emergency) Minimum 5 years of clinical experience , including inpatient care. Prior experience in Utilization Review or Managed Care preferred. Strong understanding of managed care principles and medical necessity criteria. Proficient in using computer systems for clinical documentation and file review. Why Apply? High-impact, non-clinical role in a respected healthcare organization. Competitive compensation with potential for permanent placement. Fully remote flexibility with a stable Monday–Friday schedule. Opportunity to influence healthcare delivery and quality outcomes. Apply now to take the next step in your career as a Physician Reviewer! By providing your phone number, you consent to: (1) receive automated text messages and calls from the Judge Group, Inc. and its affiliates (collectively "Judge") to such phone number regarding job opportunities, your job application, and for other related purposes. Message & data rates apply and message frequency may vary. Consistent with Judge's Privacy Policy, information obtained from your consent will not be shared with third parties for marketing/promotional purposes. Reply STOP to opt out of receiving telephone calls and text messages from Judge and HELP for help. Contact:
elandes@judge.com This job and many more are available through The Judge Group. Find us on the web at www.judge.com